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Cipla Ltd

Aerocort Forte Rotacap 30'S

Asthma/COPD
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    Introduction About AEROCORT FORTE ROTACAP

    AEROCORT FORTE ROTACAP is a combination of Beclomethasone and Levosalbutamol which belongs to the group of medicines called Anti-asthmatic drugs. It is used to manage asthma and chronic obstructive pulmonary disease (COPD). It relieves wheezing, shortness of breath, coughing and chest tightness caused due to narrowing of airways.

    Use AEROCORT FORTE ROTACAP every day until your doctor tells you to stop. It is meant for inhalation use only. Do not stop using this medicine once your symptoms subside without consulting your doctor. It is suitable for use both in adults and in children (aged 4 years or above).

    AEROCORT FORTE ROTACAP should not be used to relieve a sudden asthma attack (such as sudden breathing problems). Instead contact your doctor or use a fast-acting ‘rescue’ inhaler to subside the symptoms.

    Before using AEROCORT FORTE ROTACAP inform your doctor if you have any lung infections, liver problems, kidney problems or heart problems. You must also inform your doctor if you have diabetes, hypertension, fits, thyroid problems or currently taking or recently took any other steroid medication as a precaution.

    AEROCORT FORTE ROTACAP should be used in pregnant or breastfeeding women only if it is considered necessary by the physician. The most common side effects of using AEROCORT FORTE ROTACAP are headache, cold, oral thrush or oral sores, throat irritation, hoarse voice, dizziness and fast heart rate. Contact your doctor if any of these side effect worsens.

    Uses Of AEROCORT FORTE ROTACAP

    • Manage and manages asthma and COPD
    • Relieves wheezing, shortness of breath, coughing and chest tightness caused due to narrowing of airways

    How AEROCORT FORTE ROTACAP Works

    AEROCORT FORTE ROTACAP is a combination of two medicines namely, beclomethasone and levosalbutamol. Beclomethasone is an inhalation corticosteroid. It blocks the release of certain chemicals in the airways that cause inflammation and swelling.

    Levosalbutamol is a bronchodilator. It relaxes the smooth muscles of the airways and widens them. Collectively, this medicine reduces airway inflammation, allows the air to pass through more freely through the airways and makes breathing easier.

    How to use AEROCORT FORTE ROTACAP

    Use AEROCORT FORTE ROTACAP every day until your doctor tells you to stop. It is meant for inhalation use only. Inhale the medicine only through your mouth into the lungs and not via nose.

    Closely follow the instructions given by your doctor regarding the number of inhalations and dosing intervals.

    • Insert the capsule into the capsule chamber or into the hole present in the inhalation device and pierce it my adjusting the device
    • Place the mouthpiece of the device between your teeth and close your mouth tightly. Breath in through your mouth deeply and rapidly
    • Hold your breath for 10 seconds or for as long as is comfortable and then breathe out normally. Repeat the same steps for further inhalations as well

    Once inhalation is over, rinse your mouth with water and spit it out or brush your teeth.

    Do not start using this medicine unless your doctor or health care provider has taught you how to use and you understand how to use it correctly.

    Side Effects Of AEROCORT FORTE ROTACAP

    Common

    • thrush in the mouth or throat (a yeast infection that causes sore, creamy-yellow, raised patches)
    • sore tongue, hoarse voice, throat irritation
    • cough
    • headache, dizziness
    • palpitations (fast heart rate)
    • tremor, nervousness

    Stop using AEROCORT FORTE ROTACAP and contact your doctor immediately if you experience any of the following side effects:

    • exacerbation of previous condition
    • severe allergic reactions (such as sudden wheezing, cough, shortness of breath, skin rash, itching, swelling of the face, lips, tongue, or throat, breathing difficulties, sudden fast heartbeat which can cause fainting, light-headedness)
    • signs of reduced adrenal function (such as nausea, vomiting, stomach pain, weight loss, loss of appetite, tiredness, feeling faint, sweating and possible fits)
    • vision changes

    How To Manage Side Effects

    Headache

    Rest and relax. Drink plenty of fluids such as water or electrolytes. Apply a pain-relieving balm on the head if required. Do not consume too much of alcohol. Consult your doctor if the symptom did not improve.

    Sore Throat

    Gargle your throat with salt water twice a day. Always try to drink warm water. Avoid chilled, cooled, or sweetened food items or beverages. Drinking turmeric milk or ginger tea mixed with honey and pepper powder can ease the soreness. Consult your doctor if the symptom did not improve.

    Warning & Precautions

    Pregnancy

    Use with Caution

    AEROCORT FORTE ROTACAP should be used with caution in pregnant women. Therefore, consult your doctor before using it.

    Breastfeeding

    Consult your doctor

    It is not known whether AEROCORT FORTE ROTACAP can pass through breast milk or not. Therefore, it should not be used in breastfeeding women unless considered necessary by the physician.

    Driving and Using Machines

    Safe

    AEROCORT FORTE ROTACAP is unlikely to affect your ability for driving or using machineries. However, do not drive or handle any heavy tools or machines if your ability is affected by this medicine.

    Alcohol

    Contraindicated

    Consumption of alcohol is not recommended during management with AEROCORT FORTE ROTACAP.

    Kidney

    Use with Caution

    AEROCORT FORTE ROTACAP should be used with caution in patients with kidney problems. Therefore, consult your doctor before using it.

    Liver

    Use with Caution

    AEROCORT FORTE ROTACAP should be used with caution in patients with liver problems. Therefore, consult your doctor before using it.

    Allergy

    Contraindicated

    Do not use AEROCORT FORTE ROTACAP if you are allergic to levosalbutamol or beclomethasone dipropionate.

    Lungs

    Use with Caution

    AEROCORT FORTE ROTACAP should be used with caution in patients who were previously managed for tuberculosis. Therefore, consult your doctor before using it.

    Heart Disease

    Use with Caution

    AEROCORT FORTE ROTACAP should be used with caution in patients with hypertension or any other heart diseases. Therefore, consult your doctor before using it.

    Use In Pediatrics

    Monitoring required

    AEROCORT FORTE ROTACAP can be used in children (aged 4 years or above) if prescribed by the physician. Therefore, consult your doctor before using it.

    Use In Geriatrics

    Use with Caution

    AEROCORT FORTE ROTACAP should be used with caution in elderly patients (aged 65 years or above). Therefore, consult your doctor before using it.

    Others

    Before using AEROCORT FORTE ROTACAP inform your doctor if you:

    • have fits
    • have diabetes
    • have thyroid problems
    • are currently taking or recently took any other steroid medication

    Interactions

    A. Drug-Drug interactions:

    Before taking AEROCORT FORTE ROTACAP, inform your doctor if you are taking any of the following medicines:

    • medicines used to manage HIV infection (such as ritonavir, cobicistat)
    • other medicines used to manage asthma (such as theophylline, budesonide, salbutamol, salmeterol, betamethasone, formoterol etc.)
    • medicines used to reduce edema by increasing urine output (such as furosemide, spironolactone)
    • medicines used to manage depression (such as selegiline, phenelzine, amitriptyline, imipramine)
    • medicines used to manage heart problems (such as propanolol, metoprolol, atenolol, digoxin, olmesartan, telmisartan etc.)

    Overdosage:

    If you or anyone else accidentally took more AEROCORT FORTE ROTACAP, consult your doctor immediately or visit the nearby hospital. Symptoms of overdose include fits, chest pain, changes in blood pressure, irregular heartbeat, nervousness, headache, tremor, dry mouth,  nausea, dizziness, fatigue, tiredness, and sleeplessness.

    Synopsis

    Drug :   Beclomethasone, Levosalbutamol
    Pharmacological Category :   Inhalational corticosteroids, Beta-2 adrenergic agonists
    Therapeutic Indication :   Asthma & COPD
    Dosage Forms :   Inhaler, Nexhaler, Rotacaps, Respicaps

    More Information

    • Keep AEROCORT FORTE ROTACAP out of reach of children
    • Store AEROCORT FORTE ROTACAP at room temperature

    FAQs About AEROCORT FORTE ROTACAP

    Q: How should I use AEROCORT FORTE ROTACAP?

    A: Use AEROCORT FORTE ROTACAP as advised by your physician. It is for inhalation use only. Do not miss any dose of AEROCORT FORTE ROTACAP. Your doctor will decide the correct dose and duration for you depending on your age, body weight, and disease condition. Rinse your mouth with water after using AEROCORT FORTE ROTACAP to help reduce your chance of fungal infections.

    Q: What is the use of AEROCORT FORTE ROTACAP?

    A: AEROCORT FORTE ROTACAP is used to manage asthma and chronic obstructive pulmonary disease (COPD) in adults and in children (aged 4 years or older). It relieves wheezing, shortness of breath, coughing, and chest tightness caused by a narrowing of the airways.

    Q: How does AEROCORT FORTE ROTACAP work?

    A: AEROCORT FORTE ROTACAP relaxes the smooth muscles of the airways and widens them. It also reduces the inflammation of the airway tract. Therefore, it allows the air to pass through more freely and makes breathing easier.

    Q: Is AEROCORT FORTE ROTACAP a steroid?

    A: Yes. AEROCORT FORTE ROTACAP contains beclomethasone, which is an inhalation corticosteroid. It works by blocking the action of certain chemicals in the body that cause airway inflammation.

    Q: Can AEROCORT FORTE ROTACAP be used for an asthma attack?

    A: AEROCORT FORTE ROTACAP is only used to manage the symptoms of asthma and COPD (such as breathlessness or wheezing). If your asthma or breathing gets worse suddenly, contact your doctor immediately or go straight away. Meanwhile, you can use a fast-acting rescue inhaler along with this medicine.

    Q: Is AEROCORT FORTE ROTACAP safe?

    A: AEROCORT FORTE ROTACAP is considered safe at doses prescribed by the physician.

    Q: What are the side effects of using AEROCORT FORTE ROTACAP?

    A: The most common side effects of using AEROCORT FORTE ROTACAP are headache, cold, oral thrush or oral sores, throat irritation, hoarse voice, dizziness, and fast heart rate. Contact your doctor if any of these side effects worsen.

    Q: Can I stop using AEROCORT FORTE ROTACAP once my symptoms subside?

    A: No. Use AEROCORT FORTE ROTACAP every day until your doctor tells you to stop. Do not stop using this medicine abruptly or reduce the dose without consulting your doctor, as it could make your breathing even worse. Your doctor will access your disease condition regularly and will increase or decrease the dose accordingly.

    Q: Will AEROCORT FORTE ROTACAP be more effective if taken at higher doses?

    A: Do not take a higher dose of this medicine without consulting your doctor, as it could lead to unwanted side effects. If your symptoms are not relieved by the prescribed dose, consult your doctor so that he might adjust the dose according to your health condition or suggest an alternative therapy.

    Q: Can I use AEROCORT FORTE ROTACAP during pregnancy?

    A: AEROCORT FORTE ROTACAP should be used in pregnant women only if it is considered necessary by the physician. Your doctor will prescribe you AEROCORT FORTE ROTACAP after evaluating the risks and benefits of the therapy.

    Q: Can AEROCORT FORTE ROTACAP be used with children?

    A: AEROCORT FORTE ROTACAP is considered safe for use in children (aged 4 years or older). However, it is not recommended for use in children younger than 4 years due to a lack of safety data. Kindly consult your doctor before taking.

    Q: What happens when you forget to use AEROCORT FORTE ROTACAP?

    A: If you forget to use AEROCORT FORTE ROTACAP, use it as soon as you remember. However, if it's time for the next dose, skip the missed dose and take the next dose. Do not use a double dose to compensate for the missed dose.

    Q: What are the side effects caused by the long-term use of AEROCORT FORTE ROTACAP in children?

    A: The long-term use of AEROCORT FORTE ROTACAP in children may cause a slowing of growth. To avoid this, your doctor carefully evaluates your child’s condition periodically and adjusts the dose of this medicine accordingly.

    Q: Can I consume alcohol while taking AEROCORT FORTE ROTACAP?

    A: Avoid the consumption of alcohol while taking AEROCORT FORTE ROTACAP, as it might increase the risk of adverse effects.

    Q: What happens if I accidentally take more AEROCORT FORTE ROTACAP?

    A: If you or anyone else accidentally took more AEROCORT FORTE ROTACAP, consult your doctor immediately or visit the nearby hospital. Symptoms of overdose include fits, chest pain, changes in blood pressure, irregular heartbeat, nervousness, headache, tremor, dry mouth, nausea, dizziness, fatigue, tiredness, and sleeplessness.

    Q: Can I stop using AEROCORT FORTE ROTACAP?

    A: No. Do not stop using AEROCORT FORTE ROTACAP without consulting your doctor. Otherwise, it may worsen your symptoms.

    Q: Is AEROCORT FORTE ROTACAP safe to use in patients with heart problems?

    A: AEROCORT FORTE ROTACAP should be used with caution in patients with hypertension or any other heart disease. Therefore, consult your doctor before using it.

    References

    1. K.D. Tripathi Drugs for Cough and Bronchial Asthma. Essentials of Pharmacology. 7th Edition. Page – 230, 231.

    2. Thomas C. Westfall and David P. Westfall. Levalbuterol. Adrenergic agonist and antagonists. Goodman & Gilman’s: The Pharmacological Basics of Therapeutics. 12th Edition. 2011. Page – 291.

    3. Henry Milgrom. Levosalbutamol in the treatment of asthma. NIH. National Library of Medicine. National Center for Biotechnology Information. PMC. PubMed Central. August 2006. [Accessed on 30th March 2023] https://pubmed.ncbi.nlm.nih.gov/16872269/

    4. R N Brogden, R M Pinder, P R Sawyer, T M Speight, G S Avery. Beclomethasone dipropionate inhaler: a review of its pharmacology, therapeutic value and adverse effects. I: Asthma. NIH. National Library of Medicine. National Center for Biotechnology Information. PMC. PubMed Central. 1975. [Accessed on 30th March 2023] https://pubmed.ncbi.nlm.nih.gov/172309/

    5. Orion Pharma (UK) Limited. Easyhaler Beclometasone 200 micrograms/dose inhalation powder. Electronic Medicines Compendium (EMC). [Revised in March 2021] [Accessed on 30th March 2023] https://www.medicines.org.uk/emc/files/pil.239.pdf

    6. Beclovent. Beclomethasone Oral Solution. Medlineplus.gov. American Society of Health-system Pharmacists. [Revised in November 2015]. [Accessed on 30th March 2023] https://medlineplus.gov/druginfo/meds/a681050.html

    7. Xopenex. Levalbuterol Oral Solution. Medlineplus.gov. American Society of Health-system Pharmacists. [Revised in March 2016]. [Accessed on 30th March 2023] https://medlineplus.gov/druginfo/meds/a603025.html

    8. Sun Pharmaceutical Medicare Limited. Levalbuterol Inhalation Solution. [Revised in April 2020]. [Accessed on 30th March 2023] https://sunpharma.com/usa/wp-content/uploads/sites/2/2020/12/289-levalbuterol-inhalation-solution-pil-207820.pdf

    9. Cipla Ltd. Aerocort Rotacaps (Beclomethasone Dipropionate + Levosalbutamol). Ciplamed.com. [Revised in March 2019]. [Accessed on 30th March 2023] https://ciplamed-library.com/content/aerocort-rotacaps

    Useful Diagnostic Tests

    • Absolute eosinophil count
    • Complete blood count

    Author Details

    Written By Srilekha. R - B.Pharm
    Reviewed For Accuracy By Dr. Rajnikant - MBBS, MD (Physiology)
    Last updated on 26 Feb 2024 | 12:21 PM(IST)
    Lab updated